Impembelelo ye-Cannabis kwiiLung Diseases ezifana neBronchitis kunye ne-Emphysema
Ingaba i-marijuana rhoqo isebenzisa isifo esingavaliyo sokukhupha isifo se-pulmonary (COPD) ? Ngamazwe amaninzi kwaye amisela ngokusemthethweni ukusetyenziswa konwabo okanye unyango lwe-cannabis, kunye neCOPD ngoku eyona nto ibangela ukuba abulawe eMelika, lo ngumbuzo obalulekileyo.
COPD kunye neCigarette Smoking
Uninzi lwabantu abavakalisa ukukhathazeka malunga nemiphumo yokuphefumula yentsholongwane, jonga ukubaluleka kokutshaya ugwayi kwimeko yempilo yamaphaphu.
Ngokubambisana, i-akhawunti yeCOPD kunye nomdlavuza womdlavuza malunga nama-300,000 abantu abafa minyaka yonke eUnited States yodwa, enomngcipheko omkhulu wokutshaya.
Kutheni Kuthetha Ukukhathazeka NgeMarjuana neMpilo Yokuphefumula?
Kukho izizathu ezimbalwa zokuba ukutshaya i-mariju kuphakamisa inkxalabo malunga nempilo yemiphunga.
Enye inkxalabo kubangelwa kubukho bomsindo kunye ne- carcinogens (iikhemikhali ezibangelwa ngumhlaza) ngomsi womsi onjengeemichiza ezinobungozi kumsi wesigare. Kubonakala kunengqiqo ukugqiba ukuba imiphumo yokutshaya i-marijuana iya kufana. Nangona oku kunengqiqo, kubalulekile ukujonga iiphando eziye zavavanya umphumo wentshondi yomsi womnxeba kwimpilo yephunga ngqo.
Ziyintoni i-Studies Sitshilo NgeMpilo yeMpilo kunye noMoya we-Marijuana
Abaphandi baye bajonga imiphumo yengcambu yomsila kwimpilo yamaphaphu ngendlela engaphezu kweyodwa. Ezi ziquka:
Iimpawu zeCOPD kunye neMarjuana Ukubhema
Izimpawu zokuphefumula ziye zaxelwa kulabo abatshitshisa i-marijuana kubandakanywa ukuqhuma, ukukhwehlela, ukuveliswa kwe-sputum kunye nokuphefumula okufutshane.
Ezi zimpawu zininzi zihambelana nohlobo lweCOPD olubizwa ngokuba yi-bronchitis engapheliyo, nangona iimpawu zodwa aziyizixilongo. Ukwenza ukuxilongwa kwe-COPD kudinga ukubonisa ubungqina bokhuselo olungapheliyo kwiimvavanyo zomsebenzi wamapulmoni .
Umsebenzi wePulmonary Test and Usennabis Usetyenziso
Xa ukhangela iimvavanyo zomsebenzi we-pulmonary, kubonakala ukuba abantu abaneminyaka engama-20 "edibeneyo" yabasebenzisi be-cannabis abanalo utshintsho olukhulu kwiimvavanyo ze-spirometry .
(Unyaka odibeneyo wawuthetha ukuba umntu utshaya i-cigarettes engama-365 ngosuku ngalunye.)
Abo banomlando omkhulu wokubhema i-marijuana (engaphezulu kweminyaka engama-20 ehlangeneyo) banokuphindwa kabili ukuba batshintshe kwi- FEV1 / FVC ngaphantsi kwama-70 ekhulwini, kodwa ngokungafani nalabo abanezifo eziphazamisayo ezifana ne-COPD, utshintsho ezinxulumene nokunyuka kwe-FVC ( ukunyanzeliswa komthamo obalulekileyo ) kunokuba kunyuke kwi-FEV1 ( umqulu ophefumlelweyo wokuphefumula ngomzuzwana omnye. )
Kutheni i-cannabis iya kubangela ukwanda kwe-FVC ayiqinisekanga, nangona abanye abaphandi bakholelwa ukuba inxulumene nemiphumo emibi ye-bronchodilation kunye neziphumo ezichasayo zokutshatyalaliswa kwe-cannabis.
Izifundo apho abantu bashunqisa ngokuyinhloko i-resin isnabis exutywe kunye necuba, nangona kunjalo, bafumene ukunciphisa iimvavanyo zomsebenzi we-pulmonary.
Iziphumo ze-Biopsy Iziphumo kunye noMarjuana Ukubhema
I-biop of wall bronchial kubantu abaye bavutha zombini kunye ne-marijuana baye babonisa utshintsho olungabangela ukuxilongwa kweCOPD.
Ukuxilongwa kwezifo ze-Lung kunye nokusetyenziswa kwe-Cannabis
Ukuze uxoxe malunga noluphi uphando olubonisa ngokubhekiselele kwiCOPD kunye ne-marijuana isebenzise ngakumbi, kubalulekile ukuchaza amagama ambalwa. Isifo esingapheliyo sokuphazamiseka kwesifo se-pulmary disease (COPD) sisifo esiphephayo somphunga kwaye sibandakanya:
- Bronchitis
- Emphysema
- Bronchiectasis
Ngokubanzi, uphando olujongene nokusebenzisa i-cannabis lufumene umngcipheko othobekileyo lwe-bullous emphysema . I-Bullae ibhekisela kuma-blebs okanye iipokotshi zomoya ezenziwe emiphakeni ngenxa yokuphuka kwamathambo emiphunga kunye ne-emphysema. Xa ezi "ziphaphaza" zingabangela i- pneumothorax ngokukhawuleza (ukuwa komphunga,) imeko eqhelekileyo kulabo abatshaya umgqomo.
Izifundo ezijonge i-bronchitis engapheli zixutywe. Olunye uphando lufumene ukulungiswa phakathi kokutshaya inyosi kunye ne-bronchitis engapheliyo kwimiphumo yokubhema i-cigarette, kodwa abanye abafumani nxu lumano phakathi kwababini.
Ngokubanzi, ikhonkco yabonakala kuphela (xa kwakukho ikhonkco) kulabo abasebenzisa i-marijuana ixesha elide.
Olunye uphando olushicilelwe kwiCanada Medical Journal, lwaphakamisa inkxalabo, nangona kuphela kulabo bashushu. Kuye kwafunyanwa ukuba phakathi kwaba 40 nangaphezulu, ababhemayo babezihlandlo ezimbini neyesigxina ngaphezu kwezinto ezingabonakaliyo ukuphucula i-COPD ngelixa ukudibanisa ukutshaya ugwayi kunye nokubhema i-marijuana kwandisa amathuba okuphuhlisa i-COPD ukuya kweyesithathu kunye nesiqingatha maxesha umngcipheko ngaphezu abo bangabhemi (bebabhegi okanye inambuzane). Okubalulekileyo, oku kuthetha ukuba ukongeza i-marijuana kumxube wokubhema i-cigarettes kwandisa amathuba okuphuhlisa i-COPD ngenye yesithathu. Uphengululo luye lwagqitywa ke, ukuba ukutshaya i-marijuana kuphela kwakungekho nxu lumene nempawu zokuphefumula okanye i-COPD.
I-Marijuana yonyango kunye neengozi zeCOPD
Amaninzi amaninzi ngoku ayamkela i-marijuana yonyango, kwaye i-National Cancer Institute ibonisa ukuba oku kunokuba luncedo kubantu abanomdlavuza, ukunciphisa intlungu kunye nesiphithiphithi kunye nokuba mhlawumbi bancede ne- cachexia (imbangela ngqo yokufa kuma-20 ekhulwini labantu abanomdlavuza.) Ngamanye amazwi, kubalulekile ukwazi ukuba ukusebenzisa i-marijuana kuyingozi. Ngethuba langoku, ngokusekelwe kwizifundo ukuya kutsho, ukusetyenziswa kwe-marijuana yonyango akucingelwa ukuba kuyingozi kwimiphunga kwiimilinganiselo ezisezantsi.
Umngcipheko weManjuana kunye neNgqungqungqomane yomhlaza
Xa ukhangela umngcipheko wokubhema i-marijuana kwi-COPD, kubalulekile ukubheka umphumo we-cannabis kumdlavuza wamaphaphu, ngakumbi xa sisebenzisa ingxabano yokuba ezininzi zamakhemikhali ezikhoyo kumsi we-cigaretti zikhona kumsi we-marijuana kunye nokwenza kunqunyulwa ukusuka kuloo ndawo. Ngothusayo mhlawumbi, akukho nto ibonakala ngathi yingozi enkulu yomhlaza wamaphaphu ochaphazelekayo ukubhema inambuzane .
Ezinye iziMithombo zeMarijuana kunye neMpilo yeMpilo
Xa uxoxa ngesihloko esingathandekiyo njengendlela yokusebenzisa i-marijuana kunye nemiphumo emibi ekhoyo kwimiphunga, kubalulekile ukubonisa ukuba, kulabo abachaphazelekayo, kukho ezinye iindlela zokusebenzisa i-cannabis. "Izilwanyana" okanye "amaconsi" asetyenziswa ezininzi izigulane zomhlaza zidlula iimpompo, zisuse nayiphi na ingozi echaphazelekayo ngenxa yokuphuza. Ukulungelelaniswa kwakhona kunye nokuba kuphantsi kwe-THC, kwaye bacinga ukuba akukho ncinane ukuba yintoni na, ingxaki engqondweni.
Ngaphantsi kweMarjuana UkuSaza kunye neengozi yeCOPD
Izifundo zokugonywa kwebhonju kunye nesifo seemiphunga, ngelixa zingekho miphumo epheleleyo, zingabakhuthaza abo bashiya umgqomo, ngakumbi abo benza njalo ngenxa yezizathu zonyango. Okokuthi, ngokungakhathaliseki ukuba awuyikutshaya utshayi. Ukutshaya i-cigarette yinto eyona nto iyingozi kakhulu yokuphuhliswa kweCOPD. Ukongeza, ukutshaya ugwayi kungakhokelela kwiimeko ezininzi zezokwelapha kwaye kubangelwa yimizimba emininzi .
Kubalulekile ukubonisa, nangona kunjalo, ukuba ukutshaya i-marijuana rhoqo kuhambelana neempawu ze-bronchitis ezingapheliyo kunye nokuvutha kwamanzi.
Ngokuqinisekileyo, kukho imiphumo eyongezelelweyo, intlalontle kunye nezoqoqosho, ingakumbi kwimimandla apho i-cannabis engekho mthethweni. Ngakolunye uhlangothi, njengoko sifunde indlela i-cannabis inokusinceda ngayo abo babandezelekayo, ingakumbi abo abanomdlavuza, kufuneka sibonise ukuba inambuzane ayiyiyo i-monster eyayiqala ukuba ibonakale isekelwe kwiikhemikhali equle umsi womsi .
> Imithombo:
> Kempker, J., Honig, E., noG. Martin. Iimpembelelo zeMarijuana Exposure on Expiratory Airflow. Isifundo sabadala abaye bathatha inxaxheba kwiSifundo seSizwe seMpilo neZondlo. Amanqaku e-American Thoracic Society . 2015. 12 (2): 135-41.
> Lutchmansingh, D., Pawar, L., no-D. Savici. Ukumisela i-Cannabis: Ugqirha weMgqirha kwimiphumo yePulmonary of Marijuana. IiNgxelo zoKhathalelo zangokuKhuseleko . 2014. 3 (4): 200-205.
> Martinasek, M., McGrogan, J., no A. Maysonet. Uhlolo oluHlolo lweMiphumo yokuphefumula yeMarjuana engaphiliyo. Ukunyamekela . 2016. 61 (11): 1543-1551.
> Riberiro, L., kunye ne-P. Ind. Impembelelo ye-Cannabis Ukubhema kwimiSebenzi yeeLung kunye neempawu zokuphefumula: Ukuhlaziywa kweziThili eziHlomelo. I-NPJ Primary Care Medicine Respiratory . 2016. 26: 16071.